Provider Demographics
NPI:1043309453
Name:LAU, AMY K (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:LAU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1621 EASTCHESTER RD
Mailing Address - Street 2:2ND FLOOR, CFCC
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2604
Mailing Address - Country:US
Mailing Address - Phone:718-405-8040
Mailing Address - Fax:718-405-8045
Practice Address - Street 1:MMG - CFCC
Practice Address - Street 2:1621 EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY231152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine